Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $73.42 / $123.37	Facility		$59.60	$73.42	$123.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $69.09 / $86.04	Professional		$59.60	$69.09	$86.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $44.50 / $55.62	Facility		$44.50	$44.50	$55.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $71.98 / $73.42	Professional		$53.15	$71.98	$73.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $54.84 / $57.58	Facility		$54.84	$54.84	$57.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $54.84 / $54.84	Professional		$54.84	$54.84	$54.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $57.60 / $73.42	Facility		$55.92	$57.60	$73.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $86.58 / $332.00	Facility		$60.34	$86.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $84.43	Professional		$73.42	$73.42	$84.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $76.30 / $76.30	Facility		$73.42	$76.30	$76.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $76.30 / $76.30	Professional		$73.42	$76.30	$76.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $57.60 / $597.00	Facility		$57.60	$57.60	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $73.42 / $77.84	Professional		$55.62	$73.42	$77.84
United Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $112.78	Professional		$71.98	$71.98	$112.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $76.30	Professional		$73.42	$73.42	$76.30